Hiding in plain sight: Cooperative Extension as an underutilized approach to improving cancer survivorship outcomes in underserved populations.
Olivia Pitasi, Deana Hildebrand, Rachel Liebe...
https://pubmed.ncbi.nlm.nih.gov/39388009/Actively Recruiting
Led by University of Oklahoma · Updated on 2025-06-26
80
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating the SUCCESS program, a cancer survivorship initiative delivered through Cooperative Extension services, to see if it is practical and can improve health outcomes for adults who have completed active cancer treatment. The study aims to assess the programs feasibility, participant acceptance, and its preliminary effects on health-related quality of life and other psychosocial factors. Additionally, the trial examines changes in gene expression related to stress response in a subset of participants. The SUCCESS program consists of six weekly group education sessions. Each session includes 25 minutes of teaching and discussion, 25 minutes of facilitated support group time, and 10 minutes of group exercise. This is a single-arm trial without a comparison group, focusing on delivering the program and collecting data over a six-week period. Participants will complete surveys and join Zoom sessions before starting and after finishing the program to provide data on various health outcomes such as diet quality, physical function, mental health symptoms, social factors, financial toxicity, and gene expression changes. Researchers will monitor session delivery, participant attendance, adherence to the program, and acceptability ratings. The total participation duration is approximately seven to eight weeks, including follow-up assessments.
CONDITIONS
Cooperative Extension and Cancer Survivorship
A
Ashlea C Braun, PhD
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University of Oklahoma
Lead Sponsor
Oklahoma State University
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | SUCCESS Group-based Behavioral Program (Trial) | Usual Post-treatment Survivorship Care (External Context) |
|---|---|---|
| What it is | A structured behavioral support program (SUCCESS) delivered in six weekly group sessions, combining didactic education, facilitated peer support, and group physical activity for adult cancer survivors after active treatment. | Typical post-treatment survivorship care, which may include routine follow-up visits, symptom monitoring, prevention counseling, and general support, but does not systematically offer group-based behavioral programs through Cooperative Extension. |
| Role in trial | The only intervention delivered to all enrolled participants, aiming to address multiple dimensions of survivorship well-being after active cancer treatment. | Not assigned in the trial, but serves as the clinical context for understanding current survivorship care outside of behavioral group-based interventions. |
| Primary use | To provide education, peer support, physical activity, and resources that promote psychosocial, physical, and practical well-being for adult cancer survivors after treatment. | To deliver routine post-treatment follow-up, manage physical and psychosocial health needs according to standard medical practice, but rarely includes structured group-based behavioral support. |
| How it is given or performed | Six in-person weekly group sessions, each with approximately 25 minutes of health education, 25 minutes of facilitated peer group support, and 10 minutes of group physical activity, delivered via the Cooperative Extension system. | General follow-up visits with health care providers, addressing symptom review, surveillance, and general advice tailored individually; structured group educational or activity sessions are typically not standard. |
| Evidence status | Currently being evaluated for feasibility, acceptability, and impact on quality of life, physical function, psychosocial outcomes, and health behaviors in a single-group clinical trial. Published evidence for this Cooperative Extension intervention in survivorship remains under development. | Routine survivorship care after cancer treatment is established as standard practice; however, access to comprehensive group-based behavioral or psychosocial support programs is limited in most settings. |
| Important limitations | The program is being tested in a single-group trial, without randomization or a trial-assigned usual-care comparator. Its effectiveness across diverse populations and healthcare settings is not yet established. Attendance may be limited by travel or scheduling needs for in-person sessions. | Many survivors in standard follow-up may not receive structured behavioral, psychosocial, or peer support. Services often vary by location and provider, possibly leaving unmet needs for well-being or social connection. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 6 weeks
Participants attend the SUCCESS program which includes 6 weekly group education sessions. Each session consists of 25 minutes of didactic and discussion-based lecture, 25 minutes of facilitated support group, and 10 minutes of brief group-based exercise.
Weekly visits for 6 weeks
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
1
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Olivia Pitasi, Deana Hildebrand, Rachel Liebe...
https://pubmed.ncbi.nlm.nih.gov/39388009/University of Oklahoma
Lead Sponsor
Oklahoma State University
Collaborating Sponsor